Hypothesis: Fluctuating hearing loss with vertigo is almost always due to Meniere’s disease.

Since the initial description of Meniere’s disease by Prosper Meniere in 1861,1 the disorder has been defined and redefined on several occasions by organizations such as the American Association of Otolaryngology–Head and Neck Surgery (AAO-HNS)2 and the Japanese Society for Equilibrium Research.3 Intertwined with the evolution of our understanding of this disorder has been an increasing appreciation of an entity variously described as vestibular migraine, migraine-related vestibulopathy, or migrainous vertigo. Indeed it was Prosper Meniere himself in his original article who noted the association.